OrganizationActive
Premier Hospitalist Group LLC
NPI 1699073486 · Hospitalist Physician · Kennett, MO
Provider details
- NPI number
- 1699073486
- Entity type
- Organization
- Primary specialty
- Hospitalist PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Vishnu Subramani, Director(573) 332-0052
- License
- 2005005184 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1301 1st St
Kennett, MO 63857-2525
Phone: (573) 332-0052
Fax: (573) 332-0007
Street-level locationGet directions
Mailing address
2909 Independence Street
Cape Girardeau, MO 63703-5044
Registry dates
- Enumerated
- 2011-03-03
- Last updated
- 2012-05-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.